Individual
JEROME NDIKUMUKIZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3938 E PONCE DE LEON AVE STE D, CLARKSTON, GA 30021-8104
(404) 964-2147
Mailing address
3938 E PONCE DE LEON AVE STE D, CLARKSTON, GA 30021-8104
(404) 964-2147
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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